Buckingham Place Apartments
101 Doncastle Ct.  Concord, NC  28025                  Call us: 704-782-1511
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On-Line Application
FULL NAME 
SSN#
CURRENT ADDRESS: STREET#, CITY
STATE
ZIP CODE
HOW LONG AT CURRENT ADDRESS
 PHONE
DRIVER'S LICENSE #
BIRTHDAY
CURRENT LANDLORD
PHONE
REASON FOR MOVING
PREVIOUS ADDRESS STREET#, CITY, STATE,ZIP
PREVIOUS LANDLORD
NAME OF EMPLOYER
​PHONE
ADDRESS
​WAGES
HIRE DATE
SUPERVISOR
NAME(S) OF THOSE WHO WILL RESIDE IN APARTMENT WITH YOU:
NAME/AGE
NAME/AGE
NAME/AGE
IN CASE OF EMERGENCY NOTIFY:
HAVE YOU EVER FILED FOR BANKRUPTCY?
BEEN EVICTED?
HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF ANY OFFENSE OTHER THAN A MINOR TRAFFIC VIOLATION?
IF YES, PLEASE EXPLAIN:



THE ABOVE INFORMATION, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT.  I UNDERSTAND THAT IF I HAVE INTENTIONALLY PROVIDED FALSE INFORMATION OR FAILED TO FULLY DISCLOSE PERTINENT FACTS, ANY CONTRACT WITH BPA MAY BE RENDERED NULL AND VOID, AND TENANT WILL VACATE AND DELIVER PREMISES TO LANDLORD WITHIN THREE (3) DAYS.  ALL MONIES PAID AND ANY MONEY DUE SHALL BE THE SOLE PROPERTY OF BPA: 



I ALSO AGREE THAT ONCE I HAVE BEEN NOTIFIED THAT I HAVE BEEN APPROVED FOR TENANCY AT BUCKINGHAM PLACE APARTMENTS, I MUST PAY EITHER THE SECURITY DEPOSIT, IF ANY REQUIRED AND/OR RENT PREPAYMENT BEFORE AN APARTMENT CAN BE GUARANTEED.  I ALSO AGREE THAT ONCE I PAY  THE SECURITY DEPOSIT AND/OR RENT PREPAYMENT TOWARD AN APARTMENT, I HAVE TWENTY-FOUR (24) HOURS TO CHANGE MY MIND AND RECEIVE A FULL REFUND:   


I UNDERSTAND THAT IN CONSIDERATION OF MY TENANCY, AN INVESTIGATION WILL BE CONDUCTED OF MY CURRENT AND/OR PREVIOUS RESIDENCY.  I AUTHORIZE CURRENT AND PAST EMPLOYERS, AND ANY OTHER ORGANIZATIONS OR PERSONS WITH WHOM I AM ACQUAINTED WITH TO ANSWER ALL QUESTIONS ASKED CONCERNING MY CURRENT AND PREVIOUS RESIDENCY PAYMENT RECORD, ABILITY, CHARACTER, REPUTATION, EDUCATIONAL BACKGROUND, CREDIT HISTORY, AND MODE OF LIVING.  I RELEASE ALL PERSONS, INCLUDING CURRENT OR PAST EMPLOYERS, MY CURRENT OR PREVIOUS LANDLORDS, CREDIT BUREAUS, GOVERNMENT AGENCIES, AND ANY OTHER ORGANIZATION WHO HAS PROVIDED INFORMATION FROM ANY AND ALL LIABILITIES OR DAMAGES IN CONNECTION WITH MY RESIDENTIAL REPORT OR ACCOUNT OF HAVING FURNISHED SUCH INFORMATION IN GOOD FAITH:

Application Fee $25.00 per person  Contact office at 704-782-1511 for submit payment method


CITY
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YES NO
YES NO
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